Active NPI
Gladys Melendez
- General Practice Registered Nurse
- Ponce, PR
National Provider Identifier
1083808216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 11232
- Practice address
- Barrio Machuelo
Carretera 14
Ponce, PR 00731 - Phone
- (787) 842-6646
- Fax
- (787) 840-7761
- NPI assigned
- Aug 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 11232 | PR | Primary |
Addresses
Primary practice location
Barrio Machuelo
Carretera 14
Ponce, PR 00731
Mailing address
Urb. Rio Canas
Calle Yaguez #2329
Ponce, PR 00728
Phone (787) 842-6646
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11232 | PR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188604800000",
"number": "1083808216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. RIO CANAS",
"address_2": "CALLE YAGUEZ #2329",
"city": "PONCE",
"state": "PR",
"postal_code": "00728",
"telephone_number": "787-842-6646",
"fax_number": "787-840-7761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BARRIO MACHUELO",
"address_2": "CARRETERA 14",
"city": "PONCE",
"state": "PR",
"postal_code": "00731",
"telephone_number": "787-842-6646",
"fax_number": "787-840-7761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ",
"first_name": "GLADYS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-30",
"last_updated": "2007-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "PR",
"license": "11232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.